Cognitive symptoms, cervical range of motion and pain as prognostic factors after whiplash trauma

  title={Cognitive symptoms, cervical range of motion and pain as prognostic factors after whiplash trauma},
  author={Peter Borenstein and Mark S. Rosenfeld and Ronny K Gunnarsson},
  journal={Acta Neurologica Scandinavica},
Borenstein P, Rosenfeld M, Gunnarsson R. Cognitive symptoms, cervical range of motion and pain as prognostic factors after whiplash trauma.
Acta Neurol Scand: 2010: 122: 278–285.
© 2009 The Authors Journal compilation © 2009 Blackwell Munksgaard. 
Neck Injury after Whiplash Trauma in a Defined Population in Northern Sweden – Long-Term Sick Leave and Costs of Low Productivity.
It is shown that neck injuries following whiplash trauma can lead to long-term sequelae and the aim was to describe the mechanism leading to these sequelae.
The role of cervical spine range of motion in recovery from whiplash associated disorders
The clinical implication of this research is that if patients are experiencing reduced cervical spine Range of Motion a few weeks after their whiplash injury they will not necessarily have a poor outcome in the longer term as is commonly believed at present.
Treatment of whiplash associated disorders
Applying the FAM of chronic pain to patients suffering from chronic WAD appears valid and based on the degrees of evidence and the practical obstacles the following treatments can be recommended: Early physical activity in acute WAD, combination of cognitive behavioral therapy with physical therapy interventions and coordination exercise therapy in Chronic WAD.
Impairments Associated With Decreased Function in Women With Carpal Tunnel Syndrome
A number of modifiable factors are associated with self-reported function in women with carpal tunnel syndrome (CTS), and a better understanding of the association between potentially modifiable risk factors could assist clinicians in optimizing therapeutic programs for this group of patients.
Clinical, physical, and neurophysiological impairments associated with decreased function in women with carpal tunnel syndrome.
A number of modifiable factors are associated with self-reported function in women with carpal tunnel syndrome, and future longitudinal studies will help to determine the clinical implications of these findings.
Can a Chronic BPPV With a History of Trauma be the Trigger of Symptoms in Vestibular Migraine, Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), and Whiplash Associated Disorders (WAD)? A Retrospective Cohort Study.
  • C. Tjell, Wenche Iglebekk, P. Borenstein
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2019
This survey supports the hypothesis that CVMCC can be the trigger of symptoms in vestibular migraine, myalgic encephalomyelitis/chronic fatigue syndrome, and whiplash associated disorders (WAD).
Classification, care-seeking behaviour and pre-hospital triage of patients exposed to whiplash trauma
A risk stratification model for individuals exposed to whiplash trauma was developed, a practical tool for medical personnel in prehospital triage after a neck trauma that result in neck pain, and a Swedish classification system seems to be a complement to the Quebec classification.
Interrelationships between pain processing, cortisol and cognitive performance in chronic whiplash-associated disorders
This is the first study addressing the relation between pain inhibition and cognitive performance in chronic WAD and it did not reveal impaired pain inhibition but did reveal cognitive dysfunctions in patients with chronic W AD.
A risk stratification tool for prehospital triage of patients exposed to a whiplash trauma
A risk stratification model to predict the presence of a potentially more sinister injury in patients exposed to a whiplash trauma was developed and found patients with no signs of commotio cerebri, no fracture/luxation injury, no serious injury can initially be referred to primary health care for initial assessment.


MRI‐based brain volumetry in chronic whiplash patients: no evidence for traumatic brain injury
Cognitive complaints, such as poor concentration and memory deficits, are frequent after whiplash injury and play an important role in disability and potential diffuse axonal injury with subsequent atrophy of the brain and ventricular expansion is of particular interest.
Minor whiplash head injury with major debilitation.
A group of patients suffering major debility after minor whiplash head trauma, seen in one office practice, has been retrospectively studied. Typically, acute neck and upper back aches and headache
Predicting recovery from common whiplash.
It is concluded that a comprehensive assessment of whiplash patients early after trauma enables physicians to identify patients at risk of delayed recovery.
Whiplash injuries to the neck.
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  • Engineering
    American journal of surgery
  • 1957
Cognitive function and distress after common whiplash injury
  • A. Smed
  • Psychology, Medicine
    Acta neurologica Scandinavica
  • 1997
Stressful life events unrelated to the accident and a high level of distress 1 month postinjury may augment the risk of “late whiplash syndrome”.
A prospective study of 39 patients with whiplash injury
In this study, long‐lasting distress and poor outcome were more related to the occurrence of stressful life events than to clinical and paraclinical findings.
Cognitive functioning after whiplash injury: A meta-analysis
It is suggested that a consistent overall pattern of cognitive dysfunction can be demonstrated after whiplash injury through neuropsychological testing, both compared to healthy and to asymptomatic controls.
Cerebral symptoms after whiplash injury of the neck: a prospective clinical and neuropsychological study of whiplash injury.
Twenty one unselected patients with an acute whiplash injury of the neck had neurological and neuropsychological assessment, cervical x rays, EEG, BAEP, MRI, and an otoneurological examination within
Long-term functional and psychological problems in whiplash associated disorders.
  • A. Söderlund, P. Lindberg
  • Psychology
    International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation
  • 1999
The results showed that chronic WAD patients differ from other groups in quality-of-life related indicators, and psychosocial problems were more pronounced than physical, while there were no gender differences.
Differential predictors of pain and disability in patients with whiplash injuries.
The psychological predictors of pain and disability were examined in a sample of people who sustained whiplash injuries during rear-end motor vehicle accidents, and the magnification subscale of the Pain Catastrophizing Scale was the only variable that contributed significant, unique variance to the prediction of pain.